Individual
DR. STEPHEN G. VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1999140679
MO
103TC0700X
Clinical Psychologist
71-3280
IL
103TC2200X
Clinical Child & Adolescent Psychologist
71-3280
IL
103TR0400X
Rehabilitation Psychologist
71-3280
IL
Other
Enumeration date
05/11/2007
Last updated
09/11/2025
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